Why do you want an “out of network” Doctor or private pay Doctor as a choice in healthcare?

Maybe a second opinion is the answer?

Patients treatment outcomes, successful vein treatments, depend on an accurate diagnosis, identification of potential treatment options, shared decision making with the patient in choosing the most appropriate option when choices are available, understanding of, and compliance with, treatment by the patient, and follow-up and maintenance post treatment.      Outcomes depend on understanding of the condition and treatment options by the patient as well as by having the physician understand the values and preferences of the patient.

This leads to the “right” treatments and expectations for both the patient and the physician. These all require a physician / patient relationship of trust.

In today’s healthcare environment both patients and doctors can be disempowered by the industrialization of medicine with administrators and insurance companies dictating the terms of treatment and employment. 

Teaming together with our patients to find alternatives, we have a chance to influence the evolution of our healthcare.
Come talk to us at Morrison Vein Institute.

20 years dedicated to vein treatments!

Chronic Venous Insufficiency equals Vein disease

“CHRONIC VENOUS INSUFFICIENCY  (CVI) is one of the most common vascular diseases in the developed world and is a major contributor to psychosocial morbidity.” And one of the worst outcomes of venous disease is leg ulcers, esp for patients over 65- up to 4% of the population! Compression bandaging is the most recognized therapy but due to lack of education of the healthcare professionals regarding application and other treatment modalities, lack of patient funds, poor insurance reimbursement for stockings and bandaging- patients suffer for at least a year or up to 10 years needlessly.

Ross K Smith and Jonathan Golledge wrote a paper ( Phlebology 2014 Vol 29 (9) 570-579)  on a review of circulatory markers in CVI and their abstract and paper to follow shows providers could evaluate patients levels of estradiol, homocysteine and vascular growth factors that were most consistently associated with primary chronic venous insufficiency.

Circulatory markers studies can improve pathogenic understanding, increase prognostic understanding and enhance diagnostic and treatment modalities.

Early recognition of vein disease with comprehensive diagnostic evaluation and in-office minimally invasive vein treatments: revolutionary glue ablations, radiofrequency or laser ablations and ultrasound guided chemical ablations of ” faulty valve- diseased” saphenous veins, accessory veins, pudendal veins, and even pelvic vein disorders can prevent the road to leg ulcers, DVTs, and varicose vein disease disorders.

Schedule a vein screening and learn about vein disease from Morrison Vein Institute.

We have been dedicated to vein disease for 20 years.

Vein Disease equals varicose and spider veins

Hereditary risk factors for vein disease such as family history of veins combined with age, sedentary lifestyle, prolonged sitting or standing, and increased BMI, cigarette smoking, and pregnancies, all add to our chances of varicose and spider veins. The venous circulation is supposed to go up the legs back to the heart as the diagram above depicts. But with reflux, venous disease called venous insufficiency, the blood goes down the wrong way causing blood pooling and a cascade of events over time.

50% of women by the time they are 50 years old can have vein disease and 25% of men and this goes up 10% a decade. So with early intervention of easy in office vein venous ultrasound scan for a diagnosis and vein map, vein treatments there is a way ti minimize our disease process. Combine this with exercise, leg elevation, calf muscle pump exercises and good medical compression socks or stockings, we can minimize detrimental effects of varicose veins and their symptoms and complications: skin changes, restless legs, leg swelling, cramping, heaviness, feet ” burning” sensation, vulvar varicosities, deep vein thrombosis, thrombophlebitis, itching, and of course surface veins.

Come talk to us, see an informational video, get measured for compression socks and plan for  healthier legs. 480-775-8460  Tempe, Scottsdale  info@morrisonvein.com for questions. We look forward to seeing you.

 

Work Life Balance – Does it Exist?

Source: Work Life Balance – Does it Exist?

Unsightly Hand Veins?

One of our Morrison Vein Institute patients said I should put an ad that says: ” Do you have time on your hands?”  As we age, our skin gets thinner with loss of collagen and elastin, so we notice our hand veins more. Also when our body fat content is low, there is no padding to hide our veins. Then some women get age spots as well and want to just cover up the whole thing?!?  We can take on thing at a time. Treat the veins with sclerotherapy 2-3 sessions, then have a plastic surgeon or dermatologist help correct the age spots and use fillers or fat transplants to make the hands look more youthful. Lets plan it out.  Call Morrison Vein: 480-775-8460

Choose your doctor wisely-Patients Beware

When looking for a specialist to care for your leg vein health, get several opinions & do your research about the doctors.

When a doctor’s office says they “take your insurance”…. This  may just mean no pre-authorization needed…. It  doesn’t mean “insurance companies guarantee payment.”

Varicose vein question from Vein Directory online, from a post surgery patient:

I had vein ablation and have a full knee replacement. Are dilated left adnexal tortuous varicose veins consistent with pelvic vein?

I assume the “dilated left adnexal tortuous varicose veins” were seen on a diagnostic study of some sort – CT, MRI, or venography. Approximately 30% of women with left leg varicose veins have incompetence or partial obstruction in the veins in the pelvis, specifically the ovarian veins or other veins in the abdomen, pelvis and/or perineum.

This can cause pelvic pain around the menstrual periods, during pregnancy, or following sexual activity. This can also cause early recurrence of leg veins following leg vein ablation.

If DVT has been ruled out, treatment of the incompetent or obstructed abdominal or pelvic veins is typically accomplished with ultrasound guided injections, embolization (inserting or injecting material into the problem veins to close them) through catheters inserted through neck or groin, or dilation and stent placement for partial obstruction. This treatment is highly specialized and should only be done by someone with the skill, training, and experience to perform the procedures safely.

Spider Vein Treatment: Injections Gold Standard

Management of reticular veins and telangiectases    Phlebology  2015, Vol. 30(2S) 46–52   Philip Coleridge Smith

Abstract Aim: To review the literature related to the management of reticular varices and telangiectases of the lower limbs to provide guidance on the treatment of these veins.  A European Guideline has been published on the treatment of reticular varices and telangiectases, which is largely based on the opinion of experts. Older accounts written by individual phlebologists contain extensive advice from their own practice, which is valuable in identifying effective methods of sclerotherapy. All accounts indicate that a history should be taken combined with a clinical and ultrasound examination to establish the full extent of the venous disease. Sclerotherapy is commenced by injecting the larger veins first of all, usually the reticular varices. Later in the same session or in subsequent sessions, telangiectases can be treated by direct injection. Following treatment, the application of class 2 compression stockings for a period of up to three weeks is beneficial, but not used universally by all phlebologists. Further sessions can follow at intervals of 2–8 weeks in which small residual veins are treated. Resistant veins can be managed by ultrasound-guided injection of underlying perforating veins and varices. Other treatments including RF and laser ablation of telangiectases have very limited efficacy in this condition. Conclusions: Sclerotherapy, when used with the correct technique, is the most effective method for the management of reticular varices and telangiectases.

TED SOCKS not Effective Compression

TED socks are those white compression socks that patients know from the hospital..
At Morrison Vein, we are asked frequently if they can be used after vein therapies? Our answer is always no, because they are only light, stiff, inelastic compression and designed for bedrest after surgeries. Their main purpose has been to prevent Deep Vein Thrombosis (DVT) in a bedridden patient.
They are not effective to combat our standing hypertensive pressures in our legs after vein procedures to minimize inflammation and aide healing.
In a recent article, “Clinical thromboembolic deterrent
stockings application: Are thromboembolic deterrent stockings
in practice matching manufacturer’s application guidelines?”
The answer is no.
They do not come in enough sizes to fit a variety of legs, staff usually aren’t trained to properly measure, nor readjust frequently to keep them from rolling down and causing a negative tourniquet effect.
“Most TED stockings do not produce a standardised Siegel profile pressure gradient decrease from ankle to calf. This may be due in part to fluid changes after surgery in combination with the large variation in size of lower limbs.” They are not effective to combat our standing hypertensive pressures in our legs after vein procedures to minimize inflammation and aide healing.
Reference: Phlebology; 2015, Vol. 30(3) 200–203 phl.sagepub.com
In short, it is better to use graduated medical compression stockings that are properly fitted.  Pressure measuring devices train health professionals to apply proper compression. Come learn from the experts.
www.morrisonvein.com
www.allaboutcompression.com

Buy the gift for health….

Stories in our news say to ” Buy Local” but what about buying a gift certificate from a family owned business for a family member????

Vein disease is inherited. Varicose and spider veins and swollen legs and symptoms like cramping, restless legs, heavy legs are inherited. Symptoms are made worse with our jobs, hormones, heat, weight lifting, hormones, pregnancies, prolonged sitting and standing.

So buy a group hug this holiday season. Come in for a group consult!😍

Call us : 480-775-8460 http://www.morrisonvein.com

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